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III IIIIIIIIIIIII III <br /> <br /> DIVISION OF MINERALS AND GEOLOGY N p 7 2 0 8 <br />DATE ~~~ '19~ <br />~ ~ <br />$ <br /> RECEIVED / <br />~ <br />FROM C <br /> <br /> <br /> DOLLARS <br /> <br /> G~ <br /> <br />/ C.. V <br />FOR '„~, ~~ ~~ ! ~ _ /~~ /_ <br />(Y/// ^ CASH <br />^ CHECK <br />^ M.O. <br /> ~ <br />AMOUNT OF ACCOUNT...........$ ~L/D9 I^ ^1'nn <br />~ /`~' <br />I <br />' <br />OU <br /> AMOUNT PAID ...... .. .........$ Il <br />,l V <br />~ <br />v <br />~ <br /> BALANCE DUE ................ .$ /~ <br /> <br />